1319 Basis of Cost Determination Code
Code indicating the method by which the ingredient cost was calculated
- Type
- Identifier (ID)
- Length
- Min 1 / Max 2
- Codes
Code | Description |
---|
0 | Not specified |
1 | Average Wholesale Price (AWP) |
2 | Local Wholesaler |
3 | Direct |
4 | Estimated Acquisition Cost |
5 | Acquisition Cost |
6 | Maximum Allowable Cost (MAC) |
7 | Usual, Customary, and Reasonable (UCR) Price that is generally charged for this product or service |
8 | Unit Dose Quantity of medicine to be taken each time |
9 | Brand Medically Necessary |
10 | Other |